Individual
BRYAN DWAYNE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1980 LAFAYETTE AVE, BRONX, NY 10473-2525
(718) 597-1587
Mailing address
500 W 48TH ST APT 3RS, NEW YORK, NY 10036-1101
(323) 474-2202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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